| Jadaya Vines, | |
|
950 Eagles Landing Pkwy, Stockbridge, GA 30281-7343 | |
| (404) 510-7963 | |
| Not Available |
| Full Name | Jadaya Vines |
|---|---|
| Gender | Female |
| Speciality | Chiropractor |
| Location | 950 Eagles Landing Pkwy, Stockbridge, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518876226 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111NR0400X | Chiropractor - Rehabilitation | CHIR066716 (Georgia) | Secondary |
| 111N00000X | Chiropractor | CHIR066716 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jadaya Vines, 950 Eagles Landing Pkwy, Stockbridge, GA 30281-7343 Ph: Not Available | Jadaya Vines, 950 Eagles Landing Pkwy, Stockbridge, GA 30281-7343 Ph: (404) 510-7963 |
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